Provider Demographics
NPI:1073273256
Name:ROBINSON, CHRISTOPHER RAFAEL (MED, LPCA)
Entity Type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:RAFAEL
Last Name:ROBINSON
Suffix:
Gender:M
Credentials:MED, LPCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 11851
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40578-1851
Mailing Address - Country:US
Mailing Address - Phone:859-309-2384
Mailing Address - Fax:
Practice Address - Street 1:1720 ELVERTON RD
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40511-1578
Practice Address - Country:US
Practice Address - Phone:859-309-2384
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-12-29
Last Update Date:2021-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health